长葛市人群流感疫苗接种意愿及影响因素分析

流行性感冒即流感是一种传染性较强、传播速度较快的呼吸系统疾病[1].接种流感疫苗是预防流感最有效且最经济的措施,能显著降低接种者感染流感及其相关并发症的风险[2].但是受到多种内在及外在因素的影响,人们接种流感疫苗的主动性不强,接种率不高[3].为了解长葛市居民接种流感疫苗的意愿,分别于2019年和2020年随机抽取长葛市358名居民进行了相关调查,现将结果报道如下.     

焦作市城区≥60岁人群流感疫苗接种意愿及其影响因素分析

目的 掌握河南省焦作市城区≥60岁人群流感疫苗的接种意愿及其影响因素,为开展相关的工作提供依据。方法 采用随机抽样方法,选取焦作市城区≥60岁人群,采用调查问卷的方法收集资料,分析流感疫苗的认知和接种意愿及其影响因素。结果 调查共回收有效问卷985份,其中313人(31.78%)认为接种流感疫苗十分有必要,412人(41.83%)认为方便时可以接种,260人(26.40%)认为没有必要接种。流感疫苗接种率为10.25%,未接种的主要原因为：认为身体好不需要(43.33%),担心疫苗安全(23.08%),疫苗费用偏高(17.08%),有禁忌症不能接种(8.71%),不知道接种地点(2.83%)。35.74%的老人有接种意愿。70～<80岁组、文化程度初中及以上、人均月收入≥3 000元、有慢性阻塞性肺疾病、有医保、认为接种流感疫苗十分有必要、亲友中有人接种流感疫苗、有亲友推荐接种流感疫苗、有医生建议接种流感疫苗、接种疫苗方便的老人接种意愿较对应的其他人群高(P值均<0.05)。结论 焦作市城区≥60岁人群接种流感疫苗的意愿较低。应采取有效的宣传教育,增强该人群对流感疫苗的认知...     

学龄前儿童家长流感认知情况与流感疫苗接种意愿调查

目的了解学龄前儿童家长对流感认知情况及流感疫苗接种意愿,为流感防控工作提供科学依据。方法采用分层抽样方法对新乡医学院第三附属医院免疫接种门诊管理的学龄前儿童家长进行问卷调查。结果共调查340名家长,58.53%的家长不清楚流感与普通感冒的区别。63.82%的家长表示会为孩子接种流感疫苗,97.06%的家长希望流感疫苗作为第一类疫苗由政府免费提供。Logistic回归分析,儿童家长文化程度高、孩子曾经患流感、孩子曾经接种流感疫苗的家长更愿意接种流感疫苗。结论今后应加强对流感疾病相关知识宣教,对流感疫苗的宣讲应具有针对性,加大对疫苗安全性、保护效果、预防人群的宣讲力度,提高流感疫苗接种率。     

东营市东营区流感季初中及以下学生流感疫苗接种现状及影响因素分析

目的 了解东营市东营区流感季初中及以下学生流感疫苗接种现状,探讨影响学生流感疫苗接种的主要因素。方法 于2023年3-4月通过问卷星平台,使用电子问卷对东营市东营区4家数字化预防接种门诊辖区的初中及以下学生家长进行流感疫苗接种认知现状问卷调查,收集接种流感疫苗情况、家长性别、学校类别、户籍所在地、是否独生子女、家长与学生关系、家长年龄、家长职业、家长文化程度、家庭平均月收入、是否担心新冠与流感双流行等信息,采用多因素logistic回归分析影响学生流感疫苗接种的因素。结果 调查共回收合格问卷1 818份,其中曾为学生接种过流感疫苗的占比39.93%(726/1 818)。不同学校类别(χ²=26.858,P<0.001)、户籍所在地(χ²=5.113,P=0.024)、家长职业(χ²=124.133,P<0.001)及文化程度(χ²=62.848,P<0.001)、家庭平均月收入(χ²=27.619,P<0.001)、是否担心新型冠状病毒(以下简称新冠)...     

基层医务人员流感疫苗接种意愿及其影响因素调查(2021年)

目的了解2021年嘉兴市基层医务人员流感疫苗接种意愿及其影响因素。方法 2021年7月, 以嘉兴市基层医疗机构医务人员为研究对象, 采用分层二阶段抽样方法抽取参与调查的医务人员, 采用网络自填问卷方式开展调查。调查内容包括基本情况(年龄、性别、文化程度、岗位和职称等)、疫苗相关认知和行为、新型冠状病毒肺炎/流感相关认知、流感疫苗接种意愿等。采用Logistic回归分析影响医务人员疫苗接种意愿的因素。结果共调查343人, 2020年流感疫苗接种率为35.28%(121/343), 2021年流感疫苗接种意愿率为67.93%(233/343)。多因素Logistic回归分析发现, 县级综合性医院(OR=3.86, 95%CI:2.10～7.09)、临床医生(OR=2.22, 95%CI:1.04～4.74)、重点科室(OR=11.82, 95%CI: 1.40～99.71)、医技科室(OR=15.89, 95%CI: 2.10～120.41)、后勤部门(OR=35.18, 95%CI: 4.34～285.36)、2020年接种过流感疫苗(OR=12.01, 95%CI:5.59～25.78...     

慢阻肺患者流感疫苗接种意愿及影响因素调查

目的:调查扬州市某县区慢性阻塞性肺疾病(以下简称慢阻肺)患者流感疫苗接种意愿及其影响因素,为制订慢阻肺患者管理策略提供科学依据.方法:以扬州市某县区2017年慢阻肺监测数据库中的人群为研究对象,通过问卷调查的方法收集调查对象基本信息、吸烟饮酒情况、家庭情况、幸福感、流感疫苗接种意愿及实际接种情况.采用多因素logist...     

同时接种对儿童流感疫苗接种脱漏率的影响研究

目的 评估在宁波市江北区6～35月龄儿童中同时接种季节性流感疫苗(seasonal inf luenza vaccine,SIV)第二剂次(SIV2)可能实现的脱漏率,并分析其错过同时接种SIV2机会的影响因素,为提高SIV的全程接种率提供依据.方法 利用宁波市免疫预防管理信息系统收集江北区2013/2014-2020...     

流感大流行期居民流感疫苗接种及影响因素

目的了解居民在疫情不同时期流感疫苗的接种情况和未接种原因,为今后应对大流行积累经验。方法于2009-2010年分3次采用电话问卷对中国9个地区进行调查。结果 居民甲型H1N1流感疫苗的接种率为10.67%(1 158/10 853),高于季节性流感疫苗接种率的7.43%(806/10 853)(P<0.05);不同年龄、职业、文化程度、居住地、调查时期公众流感疫苗接种率不同,差异均有统计学意义(P<0.05);未接种甲型H1N1流感疫苗的人群中,62.53%(6 786/9 695)是因未接到接种通知,而未接种季节性流感疫苗的人群中,62.22%(6 753/10 047)的人认为没有必要接种。结论 流感大流行阶段,居民对季节性流感疫苗的了解甚少,接种意识不强;甲型H1N1流感疫苗的接种情况较好,居民接种意愿较高,疫苗优先接种政策的执行情况较好。     

佛山市老年人流感疫苗接种影响因素调查

[目的]探讨影响老年人接种流感疫苗的因素,为相关卫生主管部门制定流感防治策略提供参考.[方法]采用1:2病例对照研究法,选取101名接种了流感疫苗、在佛山居住半年以上、年龄≥60岁的老年人为接种组;与接种组性别、年龄、所在区等相匹配的202名耒接种过流感疫苗者为对照组.自制调查表进行问卷调查.用1:2配对Logistic回归分析、多重线性回归的方法,分析老年人接种流感疫苗的影响因素. [结果]同住人的最高文化程度、家人得过慢性呼吸系统疾病、流感疫苗认识得分、流感疫苗使经济负担过重、以医护人员的建议为权威建议5个因素为有统计学意义的因素,其OR值分别为2.653、3.676、19.231、3.704、3.300.[结论]广泛且有针对性的加强宣传对提高老年人流感疫苗的接种率有重要作用.另外纳入医保等措施对流感疫苗的接种率也具有促进作用.     

小儿流感疫苗接种对小儿流感预防的预防效果分析

目的:探究小儿流感疫苗接种对小儿流感预防的效果.方法:选取流感疫苗接种小儿200例作为实验组,时间为2015年1月-2016年1月,同时选取未接种流感疫苗小儿200例作为对照组,对这2组小儿流感的发生情况进行观察分析.结果:实验组小儿在流感疫苗接种之后,存在4.00%的小儿出现不良反应(5例发热,3例头痛),其不良症状均在3天内消失.实验组小儿经流感疫苗接种后一年的流感发生率(8.00%)明显低于对照组未接种流感疫苗的小儿流感发生率(31.50%),P<0.05.结论:小儿接种流感疫苗,可以有效对流感进行预防,且安全性较好,具有较高的可行性.     

Under-explored assumptions in influenza vaccination models: Implications for the universal vaccination of children

The aim of this study was to explore several important (but uncertain) assumptions in influenza models which affect the estimated benefits of vaccination programs. We combined consideration of these factors with the seasonal variability of influenza transmissibility to gain a better understanding of how they may influence influenza control efforts. As our case study, we considered the potential impact of universal seasonal childhood vaccination in Australia using a simplified age-stratified Susceptible Exposed Infectious Recovered (SEIR) model to simulate influenza epidemics and the impact of vaccination. We found that the choice of vaccine efficacy model was influential in determining the impact of vaccination. This choice interacted with other model assumption such as those around the infectiousness of asymptomatic cases and the match of the vaccine to the circulating strains. The methodological approach used to estimate influenza hospitalisations was also highly influential. Our study highlights the role that key modelling assumptions play when estimating the impact of vaccination against influenza.     

Determinants of influenza vaccination among young Taiwanese children

ObjectiveAccording to the Health Belief Model (HBM), individual perceptions of susceptibility, severity, benefit, barrier, self-efficacy, and cues to action are associated with health actions. In this study, we investigated the perceptions and social factors that influence the intention to vaccinate children against influenza among parents of young Taiwanese children.MethodsA nationwide survey was performed using stratified random sampling to explore the beliefs, attitudes, and intentions of parents/main caregivers with regard to vaccinating children aged 6 months to 3 years against influenza. A questionnaire was developed based on the HBM and multivariate logistic regression analyses of 1300 eligible participants were used to identify significant predictors of the intention to vaccinate.ResultsGreater perceived benefit, cues to action, and self-efficacy of childhood vaccination against influenza were positively associated with the intention to vaccinate. Children's experience of influenza vaccinations in the past year was also a positive predictor. However, perceived susceptibility, perceived severity regarding influenza and perceived barriers to vaccination were not predictive of the intention to vaccinate.ConclusionIn addition to perceived benefits and cues to action, self-efficacy of parents/main caregivers was significantly predictive of their intention to accept influenza vaccination for their young children. These components of the HBM could be used in formulating strategies aimed at promoting the use of influenza vaccine.     

Pediatric influenza vaccination rates lower than previous estimates in the United States

BackgroundAnnually, pediatric influenza vaccination coverage estimates are ascertained from health surveys, such as the National Immunization Survey (NIS-Flu). From 2010 to 2017, vaccination coverage among children ranged from 51 to 59 %. Recognizing the limitations of national health survey data, we sought to describe temporal trends in pediatric influenza vaccination coverage, and demographic differences among a commercially insured large national cohort from 07/01/2010 to 06/30/2017.MethodsInfluenza vaccination coverage was assessed among children (<18 years) with continuous enrollment in the de-identified Optum Clinformatics® Data Mart database, and from NIS-Flu. Time trends in vaccination coverage were assessed using Joinpoint regression, overall and stratified by age group, sex, and geographic region.ResultsThe average annual pediatric influenza vaccination coverage was 33.4 % in our study population versus 56.5 % reported from NIS-Flu during the same period (p-value < 0.0001). Vaccination coverage was highest in children 6 months-4-years old at 52.6 % (versus 68.8 % NIS-Flu, p-value < 0.0001), and lowest in the 13–17-year-old age group at 20.1 % (versus 42.8 % NIS-Flu, p-value < 0.0001). Vaccination coverage over time remained stable in our study population (average annual percent change 1.8 %, 95 % confidence interval [CI] ?2.3 % to 6.0 %) versus significantly increasing by 2.8 % in NIS-Flu (95 % CI 0.3 % to 5.3 %).ConclusionsVaccination coverage in our commercially insured pediatric population was 51.4% lower than estimates from NIS-Flu during the same period, suggesting the need for more accurate vaccination coverage surveillance, which will also be critical in future COVID-19 vaccination efforts. Effective interventions are needed to increase pediatric influenza vaccination rates to the Healthy People 2020 target of 70%.     

Trends in influenza vaccination coverage rates in South Korea from 2005 to 2014: Effect of public health policies on vaccination behavior

BackgroundInfluenza is a major cause of morbidity and mortality worldwide. Annual vaccination is effective in its prevention and is recommended especially in susceptible populations such as the elderly over 65 years, children younger than 5, pregnant women, and people with chronic diseases. Overall, South Korea has a high vaccination rate owing to its National Immunization Program, although the method and extent of its coverage varies among the target subgroups. The aim of this study is to assess the trend of influenza vaccination coverage between 2005 and 2014 in South Korea to address the influence of sociodemographic and disease factors on vaccination behavior. Also, we aim to compare the vaccination coverage of target subgroups and evaluate the effect of relevant policies to provide suggestions for their improvement.MethodsA total of 61,036 respondents from the Korea National Health and Nutrition Examination Surveys III to VI were included.ResultsThe total influenza vaccination coverage increased from 38.0% in 2005 to 44.1% in 2014. Vaccination coverage was higher among the elderly aged ≥65 years (range, 70.0–79.8%; p-for-trend <0.001) and children under 5 (range, 64.6–78.9%; p-for-trend < 0.001) than among pregnant women (range, 9.4–37.8%; p-for-trend = 0.122) and people with chronic diseases (range, 29.6–42.6%; p-for-trend = 0.068) from 2005 to 2014. High vaccination coverage was associated with female gender, rural residence, low education level, high income, and increasing number of chronic diseases. But the effect of high income on high vaccination coverage was absent in the elderly aged ≥65 years and children under 5.ConclusionInfluenza vaccination rates have steadily increased from 2005 to 2014 in South Korea. Disparities between target groups correspond to their financial coverage under the National Immunization Program, and financial aids remove the influence of high income on higher vaccination rates. Future vaccination policies should focus on pregnant women and people with chronic diseases.     

西安市居民接种流感疫苗效果及影响因素研究

目的 研究流感疫苗效果及其影响因素.方法 随机整群抽样选择西安东方集团有限公司的2 818人进行问卷调查.接种组1 785人,未接种组1 033人.比较两组人群呼吸系统和心脑血管病住院率,并对疫苗降低住院率的影响因素进行logistic回归分析.结果 接种组标化后住院率为7.7%,对照组为11.900,接种组住院率仅为...     

上海市静安区社区医务人员流感疫苗接种率及其影响因素

目的 了解上海市静安区社区医务人员流感疫苗接种率及其影响因素.方法 2019年4月,对上海市静安区共15家社区卫生服务中心的所有医务人员进行问卷调查,采用x2检验和多因素Logistic回归分析模型对流感疫苗接种率的影响因素进行单因素和多因素分析.结果 上海市静安区社区医务人员流感疫苗接种率为14.57％,多因素Log...     

Influenza vaccination rates in Ontario children: Implications for universal childhood vaccination policy

The aims of this study were to estimate influenza vaccination coverage for children during the 2006–2007 influenza season in Ontario, Canada, where universal vaccination is available, and to compare the rate among children aged 6–23 months with corresponding rates from other Canadian provinces that specifically target this high-risk group. We conducted a telephone survey of caregivers of children aged 6 months–11 years that included 4854 children from 3029 households. Ontario's vaccination rate (complete and partial coverage combined) for children aged 2–11 years was 28.3% (95% CI 26.3–30.5%) for healthy children and 36.8% (95% CI 31.4–42.5%) for those with chronic conditions. Immunization coverage of children aged 6–23 months was 24.0% (95% CI 20.6–27.7%) in Ontario, similar to Manitoba's rate of 24.1% but lower than rates in other provinces: Nova Scotia (35.5%), Quebec (41.8% for 1 year olds and 37.7% for 2 year olds during the 2005–2006 season), Saskatchewan (32.5%) and Alberta (52.2%). Universal vaccination in Ontario has achieved modest coverage in children aged 2–11 years, but has been less successful than targeted programs in vaccinating infants aged 6–23 months.